Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Basham

Individual provider Pharmacist · NPI 1194181669

Jason Basham is a Pharmacist in Conway, South Carolina. Licensed in Kentucky and South Carolina. Registered with an NPI since 2016.

Licensed in
KY, SC
In the registry since
2016
Specialties on file
2

Practice location Address checks out

2219 Main St
Conway, SC 29526-3340
Phone: (843) 488-4400
Fax: (843) 488-4405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 9657 (SC)
Pharmacist Taxonomy 183500000X · Licence 011627 (KY)

Record details

NPI number1194181669
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2016
Last updated in NPPESJanuary 13, 2016
Mailing address2219 Main St, Conway, SC 29526-3340

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